Walters, George John
Walters, George John is an sole proprietor health care provider with primary practice located at 2202 State Ave Suite 200, Panama City FL 32405-7601. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Walters, George John can be contacted via phone (850) 763-8585.Contact Information
Primary practice address
2202 State Ave Suite 200
Panama City FL 32405-7601
Phone: (850) 763-8585
Fax: (850) 763-3920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN0012432 | Florida |
Profile Details
| NPI number | 1477538924 |
|---|---|
| LBN Legal business name | Walters, George John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jul 20th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477538924 | NPPES |
| Florida | MEDICAID | 073701101 |
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